Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,408.47 / $7,920.26 / $23,856.49	Facility		$3,408.47	$7,920.26	$23,856.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,514.89 / $1,827.96 / $4,356.97	Professional		$1,514.89	$1,827.96	$4,356.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,020.34 / $3,319.43 / $5,052.77	Professional		$2,020.34	$3,319.43	$5,052.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,199.24 / $3,765.16 / $4,495.74	Professional		$3,199.24	$3,765.16	$4,495.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,394.78 / $3,141.52 / $4,692.85	Facility		$2,394.78	$3,141.52	$4,692.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,623.22 / $3,035.72 / $4,614.81	Professional		$2,623.22	$3,035.72	$4,614.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,491.78 / $3,388.39 / $3,512.14	Facility		$2,491.78	$3,388.39	$3,512.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,334.38 / $3,186.00 / $4,524.76	Facility		$2,334.38	$3,186.00	$4,524.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,944.40 / $3,625.19 / $4,872.25	Professional		$2,944.40	$3,625.19	$4,872.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,802.20 / $51,381.00 / $65,959.06	Facility		$23,802.20	$51,381.00	$65,959.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,243.05 / $4,091.38 / $5,498.86	Professional		$3,243.05	$4,091.38	$5,498.86
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $26,100.00 / $51,981.00	Facility		$3,340.00	$26,100.00	$51,981.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,462.40 / $3,663.80 / $5,462.82	Professional		$2,462.40	$3,663.80	$5,462.82